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diagnosis differential algorithm base disorders medications pharmacology table acidbase acidosis ackd acquired acutekidneyinjury aki bloodgas causes cystic disease diuresis diuretics
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid ... Do you need an ABG ... Generally, for acid ... ~0.05 to pH and ... Ketoacidosis, Renal
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... ABG And BMP Normal ... - Diarrhea - Renal ... Diagnosis #Summary #Nephrology ... #Acid #Base #Gas
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
OTCs, herbals, abx ... protein/Cr - Renal ... /bladder US w/ PVR ... - CPK, uric acid ... AcuteKidneyInjury #AKI #Nephrology
Immunosuppression in Transplantation Induction (I): - Basiliximab (Simulect) - Alemtuzumab (Campath) - Rituximab - Anti-Thymocyte Globulin (ATG) Induction
Anti-Thymocyte Globulin (ATG ... - Mycophenolic Acid ... #Maintenance #Management ... #Nephrology #Renal
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... • Metabolic alkalosis ... irrigation • Management ... Bumetanide, Ethacrynic acid ... Excretion #Diuresis #Nephrology
Acquired Cystic Kidney Disease (ACKD) Screening and Management • Asymptomatic dialysis/renal transplant patient, aged >60 years,
Kidney Disease (ACKD ... Screening and Management ... life expectancy → Ultrasound ... erythrocytosis, etc. → Ultrasound ... surveillance #radiology #nephrology
Methotrexate Renal Toxicity Prevention: • Alkalinize the urine, keep urine ph >7 • Start pre-treatment 12
Methotrexate Renal ... urine, keep urine ph ... see metabolic alkalosis ... #Toxicity #management ... #treatment #nephrology
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
#ICUCard RENAL ... (Na U(U/P Cr) Renal ... 2)| Metabolic Alkalosis ... 50mmHg (acute I pH ... on FIO2 < 50% pH
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... Check and maintain ABC ... Consider CBC, renal ... • IV Valproic acid ... #neurology #pediatrics
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